MEDICARE: DR. GEORGE HAHM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	0101241916	VA
2	208600000X	Surgery Physician	15395	NV

General Provider Information

NPI Number	:	1467655050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE HAHM M.D.

Provider Business Mailing Address
First Line	:	2436 HIGH VISTA CIR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3707
Country	:	US
Telephone Number	:	314-324-7392
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1970
Country	:	US
Telephone Number	:	725-241-4246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2007
Last Update Date	:	11/09/2023

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